Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | EL6978 | CA |
NPI | 1184241978 |
---|---|
Provider Name | Dr. Zachary James Kramer |
First Address | Encinitas, CA 92024-4605 |
Second Address | Encinitas, CA 92024-5142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2020 |
Last Update Date | 29/06/2020 |